Organization
ANGEL HOUSE BEREAVEMENT CENTER
Active
Organization
ANGEL HOUSE BEREAVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE SOWELL MONTFORD LCSW (PRESIDENT AND EXECUTIVE DIRECTOR)
(850) 257-5036
Entity
Organization
Contact information
Practice address
1015 GRACE AVE, UNIT C, PANAMA CITY, FL 32401-2494
(850) 257-5036
Mailing address
1015 GRACE AVE, UNIT C, PANAMA CITY, FL 32401-2494
(850) 257-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
02/07/2018
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